Unknown Individual – Ophthalmology Physician, NPI 1689664872

Unknown Individual is a healthcare provider. based in Jackson, Michigan. specializing in Ophthalmology Physician. They hold a License No. AW028076 (MI). The NPI Number for Unknown Individual is 1689664872

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1689664872
Phone
(517) 748-5500
Address
505 N JACKSON ST
Deactivation Date
6 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 505, North Jackson Street, Jackson, Jackson County, Michigan, 49201, United States

    JACKSON, MI 492011266

    Phone: (517) 748-5500

    Fax: (517) 780-9286

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49201)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1689664872 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Jackson, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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